Individual
JEANETTE EILEEN NORTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LLPC
Contact information
Practice address
20303 KELLY RD, DETROIT, MI 48225-1206
(313) 245-7000
(313) 245-7009
Mailing address
20303 KELLY RD, DETROIT, MI 48225-1206
(313) 245-7000
(313) 245-7009
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
6401012739
MI
Other
Enumeration date
05/17/2013
Last updated
05/17/2013
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